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A Phase I, open label, randomised, single dose, two-way crossover study to determine the pharmacokinetics of two transdermal oxymorphone patch formulations.
Expand descriptionThe purpose of this study is to understand how well oxymorphone in combination with tocopheryl phosphate mix (TPM), is absorbed through the skin and into the bloodstream, with the use of two patches.
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A Phase I/II Study of the Tolerability, Safety and Pharmacokinetics of Oral Monepantel (MPL) in Individuals with Treatment-Refractory Solid Tumours.
Expand descriptionThis study is evaluating the tolerability, safety and pharmacokinetics of Oral Monepantel (MPL) in patients with advanced solid tumours that do not respond to standard treatments. Who is it for? You may be eligible to joint this study if you have progressing and unresectable tumours, and have a life expectancy of greater than three months. All standard treatments need to have been exhausted or are contraindicated. Study details Following enrolment in the study, participants will receive an oral liquid dose of MPL once daily for 28 days. The first three participants enrolled in the study will receive 5mg /kg of body weight in each dose. If there are no toxicities or safety events observed in the first three participants, another three participants will be enrolled and receive 25 mg/kg of body weight in each dose. An additional three participants will be enrolled at 62.5 mg/kg body weight per dose if no toxicities/safety events are observed at 25 mg /kg body weight. If dose-limiting toxicities are observed at any dose level, an additional three participants will be enrolled at the same dose level, before the next dose level is initiated. This study design aims to determine whether there is a safe maximum dose that can be provided to patients with this condition. The results of the study will contribute towards the development of MPL as an anticancer treatment.
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Recruitment of brown fat in overweight adult humans with high blood pressure
Expand descriptionThe primary aim of the study is to investigate the impact of telmisartan treatment on brown fat in humans. The hypothesis is that telmisartan recruits brown fat in humans, thereby improving glucose metabolism.
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Improving medicine adherence in kidney transplantation
Expand descriptionMore people require kidney transplants which are in short supply. It is imperative that people who have kidney transplants take their medicines as prescribed. Poor adherence to prescribed medicines can cause a 60% increased risk of kidney transplant failure. Rejection requires costly hospitalisations, laboratory tests and anti-rejection therapies with associated poor outcomes. This project will develop and test an intervention to help adults requiring a kidney transplant to take their medicines as prescribed. Better medicine adherence results in improved graft life, general well-being, and reduced health care expenditure. Our industry partners share this vision of improved health for people requiring kidney transplantation.
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Parent Infant Feeding Initiative: a study to enhance breastfeeding duration
Expand descriptionThis 3-year RCT will involve the development, implementation and evaluation of an intervention to increase the duration of breastfeeding amongst participating families in metropolitan Perth WA. The study will require the development and testing of additional intervention elements to enhance those already developed during the FIFI trial. This will be followed by the implementation of a RCT involving a sample of 1200 parents (1200 fathers and 1200 mothers) recruited from hospitals in the Perth metropolitan area. The interventions will consist of a control group intervention (the usual antenatal education offered by that hospital), two medium interventions groups and one high level intervention group. Beneficial outcomes may include increased duration of breastfeeding, delaying the use of infant formula and solid foods, a better start to life for the infants and less potential disease later in life. The study will also explore the cost effectivness of each of the three interventions.
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The safety and effectiveness of testosterone pellet implantation in hypogonadal males
Expand descriptionThis trial aims to study the pharmacokinetics, effectiveness and safety of 12 pellets of 75mg testosterone (900mg total) implanted under the skin in males who have hypogonadism. Testosterone replacement therapy may help to restore male secondary characteristics, sexual behaviour, energy, mood and muscle development. This trial will enrol 24 male participants between the ages of 18-70 who have blood testosterone levels below 300ng/dL. All participants will undergo a screening visit 21 days prior to check for eligibility. Eligible participants will undergo an implantation procedure where 12 testosterone pellets will be implanted under the skin. Blood samples will be collected at various timepoints throughout the trial for pharmacokinetic analysis and safety parameters. Participants will also complete a series of questionnaires throughout the trial. Participants will be followed up for 113 days.
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Can a tailored exercise and home hazard reduction program reduce the rate of falls in community dwelling older people with cognitive impairment or dementia? A Randomised control Trial.
Expand descriptionThere is currently no evidence indicating that it is possible to prevent falls in community dwelling older people with dementia despite this group having a disproportionately higher rate of falls and fractures and poorer outcomes post event. However, there is evidence that a dementia specific approach to care, in which interventions are based on the individuals’ preserved abilities and in which the caregiver is provided with the skills to work effectively with the person with dementia, can be effective in improving daily function for the person with dementia and sense of competence for the carer. The purpose is to investigate whether a home-based exercise program and home hazard reduction program can: 1) reduce the risk of falls in older people with cognitive impairment or dementia, and 2) improve the quality of life of the person with cognitive impairment or dementia and their carer(s).
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Functional Gastrointestinal Disorders: Design and evaluation of an algorithm-based approach to triage, diagnosis and management.
Expand descriptionThe purpose of this study is to evaluate whether the proposed algorithm-based approach to the global management (triage, screening, diagnosis and treatment) of Functional Gastrointestinal Disorders is feasible, acceptable, safe and effective.
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Sequentially applied transcranial magnetic stimulation in the treatment of obsessive compulsive disorder
Expand descriptionThis project aims to evaluate the effectiveness of a brain stimulation technique referred to as transcranial magnetic stimulation (TMS) in treating obsessive compulsive disorder (OCD). Thirty OCD patients will allocated to either the control or experimental condition and receive TMS once daily for three weeks (Monday to Friday). Patients will then be followed up at two times points; after one week and four weeks post-treatment. The treatment protocol will consist of identifying and stimulating three brain regions which have been shown to be involved in OCD. Each region will be stimulated for 10 minutes using TMS parameters developed within well-established safety guidelines. We will measure the primary and secondary symptoms that patients experience and also measure their ability to perform computerised and pen and paper tasks. It is hypothesised that patients who undergo active treatment will experience a reduction in their OCD symptoms when compared to patients in the control condition.
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Physical activity in disadvantaged pre-schools
Expand descriptionOur primary aim is to evaluate the effectiveness of a multi-component, multi-setting intervention for promoting physical activity among disadvantaged pre-school-aged children. We hypothesise that at mid-intervention (6 months) and post-intervention (18 months), children in early childhood services allocated to the intervention group will participate in 45 min/day of physical activity more than children in services allocated to the control group. Our secondary aims are (1) to examine the relative effects of the intervention on MVPA, sedentary time, behavioural self-regulation, adiposity, bone mineral density, and motor skills, and (2) to explore the potential mediating and moderating variables, cost-effectiveness and implications for public policy decision making.